Civic Intelligence

Sutter Health

990 • Fiscal year 2022 • EIN 94-2788907

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 10, 2023

2200 River Plaza DriveSacramento, CA 95833

(916) 286-6665

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

63rd percentile

0.45x

Higher debt load relative to assets than 63% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Liabilities / Revenue

84th percentile

1.73x

Higher debt load relative to revenue than 84% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Net Margin

37th percentile

3.1%

Higher net margin than 37% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Top Officer Pay

86th percentile

$5,400,410

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Asset Growth

65th percentile

0.7%

Faster asset growth than 65% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Revenue Growth

12th percentile

-21%

Faster revenue growth than 12% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Assets

Up

$7,413,868,753

Up $50,984,108 (+0.7%) from 2021

Net Assets

Up

$4,093,012,574

Up $188,448,897 (+4.8%) from 2021

Liabilities

Down

$3,320,856,179

Down $137,464,789 (-4.0%) from 2021

Revenue

Down

$1,918,502,649

Down $497,056,448 (-21%) from 2021

Expenses

Up

$1,858,439,658

Up $36,173,879 (+2.0%) from 2021

Net Income

Down

$60,062,991

Down $533,230,327 (-90%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10B$5.0B$0Assets 2010: $3,065,101,682Liabilities 2010: $903,349,228Net Assets 2010: $2,161,752,4542010Assets 2011: $3,124,343,949Liabilities 2011: $774,697,304Net Assets 2011: $2,349,646,6452011Assets 2012: $3,784,610,021Liabilities 2012: $879,125,366Net Assets 2012: $2,905,484,6552012Assets 2013: $5,062,427,843Liabilities 2013: $1,089,540,138Net Assets 2013: $3,972,887,7052013Assets 2014: $4,587,642,833Liabilities 2014: $1,448,664,625Net Assets 2014: $3,138,978,2082014Assets 2015: $4,433,603,374Liabilities 2015: $1,449,852,079Net Assets 2015: $2,983,751,2952015Assets 2016: $4,975,409,814Liabilities 2016: $1,652,143,673Net Assets 2016: $3,323,266,1412016Assets 2017: $6,183,194,015Liabilities 2017: $1,760,458,511Net Assets 2017: $4,422,735,5042017Assets 2018: $6,154,465,074Liabilities 2018: $1,997,704,182Net Assets 2018: $4,156,760,8922018Assets 2019: $6,828,837,649Liabilities 2019: $2,830,909,653Net Assets 2019: $3,997,927,9962019Assets 2020: $6,846,370,331Liabilities 2020: $4,984,469,961Net Assets 2020: $1,861,900,3702020Assets 2021: $7,362,884,645Liabilities 2021: $3,458,320,968Net Assets 2021: $3,904,563,6772021Assets 2022: $7,413,868,753Liabilities 2022: $3,320,856,179Net Assets 2022: $4,093,012,5742022Assets 2023: $8,620,071,538Liabilities 2023: $4,271,166,300Net Assets 2023: $4,348,905,2382023Assets 2024: $9,601,618,724Liabilities 2024: $4,994,217,791Net Assets 2024: $4,607,400,9332024

Highlighted filing

2022

Assets$7,413,868,753
Liabilities$3,320,856,179
Net Assets$4,093,012,574

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0B$2.0B$1.0B$0-$1.0BExpenses 2010: $649,318,9622010Revenue 2011: $756,097,787Expenses 2011: $716,153,696Net Income 2011: $39,944,0912011Expenses 2012: $930,813,8132012Revenue 2013: $998,180,230Expenses 2013: $1,141,551,506Net Income 2013: -$143,371,2762013Revenue 2014: $1,230,215,940Expenses 2014: $1,245,802,811Net Income 2014: -$15,586,8712014Revenue 2015: $1,274,500,314Expenses 2015: $1,366,048,444Net Income 2015: -$91,548,1302015Revenue 2016: $1,322,855,228Expenses 2016: $1,486,642,058Net Income 2016: -$163,786,8302016Revenue 2017: $1,760,855,997Expenses 2017: $1,560,474,442Net Income 2017: $200,381,5552017Revenue 2018: $1,794,571,777Expenses 2018: $1,802,629,517Net Income 2018: -$8,057,7402018Revenue 2019: $1,924,907,196Expenses 2019: $2,471,102,136Net Income 2019: -$546,194,9402019Revenue 2020: $1,902,925,267Expenses 2020: $1,991,189,681Net Income 2020: -$88,264,4142020Revenue 2021: $2,415,559,097Expenses 2021: $1,822,265,779Net Income 2021: $593,293,3182021Revenue 2022: $1,918,502,649Expenses 2022: $1,858,439,658Net Income 2022: $60,062,9912022Revenue 2023: $1,882,657,852Expenses 2023: $2,070,243,600Net Income 2023: -$187,585,7482023Revenue 2024: $2,685,790,764Expenses 2024: $2,544,803,200Net Income 2024: $140,987,5642024

Highlighted filing

2022

Revenue$1,918,502,649
Expenses$1,858,439,658
Net Income$60,062,991
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 10, 2023
Return Version
2022v5.0
Gross Receipts
$9,929,852,797
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$5,537,140,976$5,312,048,578▼ $225,092,398
Investments Other Securities$790,620,957$875,353,229▲ $84,732,272
Prepaid Expenses and Deferred Charges$117,995,290$558,453,146▲ $440,457,856
Land, Buildings, and Equipment, Net$322,289,987$307,874,913▼ $14,415,074
Investments Program Related$40,915,673$32,169,604▼ $8,746,069
Inventories for Sale or Use$14,956,503$11,853,850▼ $3,102,653
Other Notes and Loans Receivable, Net$0$3,257,588▲ $3,257,588
Pledges and Grants Receivable$57,837$53,209▼ $4,628
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Savings and Temporary Cash Investments$133,889,514$-28,742,153▼ $162,631,667
Total Assets$7,362,884,645$7,413,868,753▲ $50,984,108
Other Assets Total$405,017,908$341,546,789▼ $63,471,119
Liabilities
Other Liabilities$2,745,836,461$2,534,776,670▼ $211,059,791
Accounts Payable and Accrued Expenses$712,484,507$786,079,509▲ $73,595,002
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$3,458,320,968$3,320,856,179▼ $137,464,789
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,896,254,988$4,084,786,761▲ $188,531,773
Net Assets With Donor Restrictions$8,308,689$8,225,813▼ $82,876
Total Net Assets Fund Balance$3,904,563,677$4,093,012,574▲ $188,448,897
Total Liabilities and Net Assets / Fund Balance$7,362,884,645$7,413,868,753▲ $50,984,108

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$148,054,795$1,397,317,110$1,545,371,905
Buildings$74,329,186$63,687,608$138,016,794
Other Land Buildings$58,017,568$3,600,712$61,618,280
Leasehold Improvements$5,733,517$46,076,959$51,810,476
Land$21,739,847-$21,739,847
Other Securities$875,353,229--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2022$6,539,859$100,000▼ $352,029-$6,287,830
2021$5,815,002$12,746▲ $712,111-$6,539,859
2020$5,191,614-▲ $623,388-$5,815,002
2019$5,034,190$5,000▲ $227,424$75,000$5,191,614
2018$5,090,034-▼ $55,844-$5,034,190
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sarah KrevansCEO Emeritus, Sutter HealthFT$1,980,063$3,420,347$5,400,410
Warner ThomasPresident & CEO Sh (pt-yr)FT$190,661$3,268,766$3,459,427
James ConfortiSH SVP, Interim CEOFT$1,501,356$1,644,897$3,146,253
Brian DeanSh SVP, CFOFT$1,166,563$1,601,953$2,768,516
Conrad Vial MDSH SVP, Chief Clinical OfficerFT$1,059,466$1,573,700$2,633,166
Florence Di BenedettoSVP & General Counsel/asst SecFT$798,114$1,576,905$2,375,019
Phil JacksonCEO, Health Plan ProductsFT$729,591$1,082,154$1,811,745
Rishi Sikka MdPresident, Sh System Ent.FT$18,886$1,773,873$1,792,759
Jill RagsdaleSh SVP, Chief Ppl & Cltr OfcrFT$795,378$922,086$1,717,464
Jeremy EavesCEO, Sutter Shared ServicesFT$730,861$910,713$1,641,574
Theresa FreiSH INTRM COO & Pres/CEO, SVMFFT$964,911$648,372$1,613,283
Jes CorneliusChief Information Ofcr (pt-yr)FT$458,729$1,154,092$1,612,821
Elizabeth Vilardo-morganCEO, SbmfFT$755,844$743,632$1,499,476
David CheneyCEO, Bay & Valley HospitalsFT$915,067$545,911$1,460,978
Chris WaughChief Innovation OfficerFT$636,587$823,867$1,460,454
Grace DavisChief Public Affairs OfficerFT$638,805$736,555$1,375,360
William Isenberg MdSh VP, Chief Medical OfficerFT$673,850$699,859$1,373,709
Warren S BrownerHospital Area CEO, North BayFT$779,447$576,922$1,356,369
Jacki MonsonInterm Chief Info Ofcr (pt-yr)FT$466,391$487,539$953,930
Ginger ChappellSh VP, Chief Compliance OfcrFT$388,292$484,514$872,806
Ed ErwinDirector Real Estate Svcs/asst SecFT$250,462$80,300$330,762
Cheryl ScottDirector/secretaryPT$27,500-$27,500
Patrick BlakeDirector/chair Fin & PlanningPT$27,500-$27,500
Anthony WagnerDirectorPT$27,500-$27,500
Barry DennisDirectorPT$27,500-$27,500
Gary CaineDirectorPT$27,500-$27,500
Helen ThomsonDirectorPT$27,500-$27,500
I-mei Hsiu MdDirectorPT$27,500-$27,500
James Ferrara MdDirectorPT$27,500-$27,500
Ken McneeleyDirectorPT$27,500-$27,500
Rebecca SaegerDirectorPT$27,500-$27,500
Willa SeldonDirectorPT$27,500-$27,500

Board Members and Trustees

NameTitle
Herbert BarlowDirector/chair
Andrew DickinsonDirector
Jeff SpragueFormer Sh SVP & CFO
Ed BerdickFormer Sh SVP/shared Services

Highest Paid Contractors

ContractorServicesLocationCompensation
Rightsourcing INCStaffing Services1150 IRON POINT RD STE 100, Folsom, CA 95630-8306$366,549,560
R1 Rcm INCHealthcare Fin Svcs434 W ASCENSION WY 6TH FLOOR, Murray, UT 84123-2790$78,488,191
US Nursing CorpStaffing Services5700 SO QUEBEC ST STE 300, Greenwood Village, CO 80111-2008$36,856,814
Guidehouse INCConsulting Services150 NO RIVERSIDE PLAZA STE 2100, Chicago, IL 60606-1528$26,338,614
Ge Precision Healthcare LLCMed EQUIP MAINT SRVS3000 NO GRANDVIEW BLVD, Waukesha, WI 53188-1615$19,198,103
Revenue and Support

Revenue Composition

Contributions and Grants
$650,863
Program Service Revenue
$1,768,374,066
Investment Income
$134,346,442
Other Revenue
$15,131,278
All Other Contributions
$357,977
Change in Net Assets
$60,062,991
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$965,560,439
Other Expenses$890,587,383
Grants and Similar Amounts Paid$2,291,836
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$627,208,709--$627,208,709
Information Technology$259,993,947$1,952,061-$261,946,008
Other Employee Benefits$206,176,152$19,023,746-$225,199,898
Depreciation Depletion$94,829,085--$94,829,085
Fees for Services Management$70,876,274$5,445,901-$76,322,175
All Other Expenses$57,977,491$5,503,266-$63,480,757
Payroll Taxes$54,112,910$455,583-$54,568,493
Fees for Services Legal$43,879,232--$43,879,232
Occupancy$37,211,671--$37,211,671
Office Expenses$35,262,804$1,695-$35,264,499
Current Officers, Directors, Trustees, and Key Employees-$30,783,647-$30,783,647
Pension Plan Contributions$27,100,540$699,152-$27,799,692
Fees for Service Investment Mgmnt Fees-$19,769,343-$19,769,343
Advertising$15,816,876$4,077-$15,820,953
Insurance$7,969,022--$7,969,022
Fees for Services Other$4,570,231$5,063-$4,575,294
Fees for Services Accounting$3,677,878--$3,677,878
Travel$2,774,626$314,702-$3,089,328
Grants to Domestic Orgs$2,173,770--$2,173,770
Conferences and Meetings$1,071,709$708,166-$1,779,875
Interest$401,645--$401,645
Other Expenses$163,084$225,447-$388,531
Fees for Services Lobbying-$250,000-$250,000
Grants to Domestic Individuals$118,066--$118,066
Total Functional Expenses$1,770,597,818$87,841,840$0$1,858,439,658
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Neighborhood Wellness FndtSacramento, CA501(c)(3)Program Support$810,754
Leukemia and Lymphoma SocietyOakdale, CA501(c)(3)Program Support$150,000
Cristo Rey High School SacramentoSacramento, CA501(c)(3)Program Support$143,500
Anamatangi Polynesian VoicesEast Palo Alto, CA501(c)(3)Program Support$100,000
Greater Sacramento Area Economic CouncilSacramento, CA501(c)(3)Program Support$100,000
Ambulatory Surgery Access CoalitionSan Francisco, CA501(c)(3)Program Support$50,000
CA Latino Legislative Caucus FndtLos Angeles, CA501(c)(3)Program Support$50,000
Coalition for Compassionate Care of CASacramento, CA501(c)(3)Program Support$35,000
Healthy Davis TogetherDavis, CA501(c)(3)Program Support$33,500
PCOE Placer County Office Of EducationAuburn, CAGovtProgram Support$28,930
American National Red CrossWashington Dc, DC501(c)(3)Program Support$25,000
Clinica Del ValleWatsonville, CA501(c)(3)Program Support$25,000
Salvation Army Del Oro Div Yuba Sutter CorpsRancho Palos Verde, CA501(c)(3)Program Support$25,000
Second Harvest Food BankSan Jose, CA501(c)(3)Program Support$25,000
United States of Care CampaignArlington, VA501(c)(3)Program Support$22,500
California Legislative Lgbt FoundationSacramento, CA501(c)(3)Program Support$20,000
California Legislative Black Caucus InstLos Angeles, CA501(c)(3)Program Support$18,215
Fisher House Foundation IncRockville, MD501(c)(3)Program Support$18,215
San Francisco Food BankSan Francisco, CA501(c)(3)Program Support$16,500
Alameda County Community Food BankOakland, CA501(c)(3)Program Support$15,000
Miga (matter)Saint Luis Park, MN501(c)(3)Program Support$15,000
Second Harvest of the Greater ValleyManteca, CA501(c)(3)Program Support$14,215
River City Community ServicesSacramento, CA501(c)(3)Program Support$13,215
Second Harvest Food Bank of Santa Cruz CntyWatsonville, CA501(c)(3)Program Support$12,215
Davis Street Community CenterSan Leandro, CA501(c)(3)Program Support$11,000
California Issues ForumSacramento, CA501(c)(3)Program Support$10,000
Food Bank of Contra Costa and SolanoConcord, CA501(c)(3)Program Support$10,000
Tracy Interfaith MinistriesTracy, CA501(c)(3)Program Support$10,000
Placer Food BankRoseville, CA501(c)(3)Program Support$9,215
Sutter Valley HospitalsSacramento, CA501(c)(3)Program Support$9,215
Sutter Valley Medical FoundationSacramento, CA501(c)(3)Program Support$6,715
Meals on Wheels of Alameda CountyOakland, CA501(c)(3)Program Support$6,250
Sutter Bay HospitalsSacramento, CA501(c)(3)Program Support$6,250
Elk Grove Community Food Bank ServicesElk Grove, CA501(c)(3)Program Support$5,715
Yolo Food BankWoodland, CA501(c)(3)Program Support$5,715
Ceres Community ProjectSebastopol, CA501(c)(3)--
Interfaith Council of AmadorJackson, CA501(c)(3)Program Support-
Malta Clinic Of Northern CaliforniaOakland, CA501(c)(3)Program Support-
Redwood Empire Food BankSanta Rosa, CA501(c)(3)--
Salvation ArmySacramento, CA501(c)(3)--
United Methodist Church of Los BanosLos Banos, CA501(c)(3)--

International Summary

Offices
0
Employees
0
Spending
$1,228,056,888

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$1,067,703,168
Europe (Including Iceland and Greenland)Investments-00$115,289,062
North AmericaInvestments-00$45,064,658
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Taxable Bond Liabilities$1,981,094,454
Self Insurance Reserve$369,845,452
Other Noncurrent Liabilities$183,836,764
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A

The affairs and management of sutter health are governed by the board of directors. The executive committee has the power to act on behalf of the board and to transact all regular business during the period between meetings of the board. The executive committee consists of the board chair, who serves as chair of the committee, the chair of the finance and planning committee, the secretary, the president and chief executive officer, the chair-elect, if there is an individual with that title who is not serving on the committee in another capacity, the past chair, if such individual is still serving as a director, and at least one director-at-large of the corporation.

Form 990, Part VI, Line 11B

Process used by management &/or governing body to review form 990: sutter health has a centralized tax department responsible for the preparation of the form 990. Annually the tax department receives and provides training and education to appropriate personnel who assist the tax department in collecting and reviewing data to be reported on the form 990. The preparation material is reviewed by various departments including tax, finance, legal, and human resources. A national accounting firm prepares and reviews the return. A completed return is then reviewed by the tax department, legal department, finance, and the cfo before the return is filed.

Form 990, Part VI, Line 12

Process to monitor transactions for conflicts of interest: employees are educated on the conflict of interest policy and the need to make disclosure as part of annual compliance education. In addition, annually a disclosure statement is completed by all directors, officers and key employees. On this statement the individual will list a wide range of information which includes business relationships, employment relationships, property interests, and those of related parties. If there is a potential conflict of interest related to a particular transaction, the interested individual must disclose the existence and nature of the relationship. The board chair may appoint a disinterested person or committee to investigate the conflict. The board may consult with the office of the general counsel as necessary. Until the potential conflict is resolved, the board chair (or committee chair as applicable) may request the individual to not participate during related presentations and discussions. In all circumstances involving an actual conflict, the interested individual shall leave the room prior to the board's final discussion and vote.

Form 990, Part VI, Line 15

Process for determining compensation: the compensation committee of the sutter health board of directors retains ultimate discretionary authority over all elements of compensation to assure that organizational purposes are appropriately being served. The compensation committee uses credible independent data sources and maintains an objective "arms length" decision-making process, ensuring the integrity of sutter's executive programs and consistency with the organization's overall mission. To ensure external competitiveness, national compensation data comparisons are reviewed. Competitive analysis includes: (a) base salary, (b) total cash (base salary + annual incentive), (c) total direct cash (base salary + annual incentive + long term incentive) and (d) total remuneration (base salary + annual incentive + benefits and long term incentive). This analysis includes national comparisons for organizations similar in size, scope and complexity as sutter health, adjusted to the california market. This method is most appropriate since it is a national marketplace in which sutter competes for executive talent. Officers and key employees of this organization undergo an annual review by the compensation committee or a delegated sub-committee. Approval is recorded in the minutes. The 2022 executive compensation approval was completed in february 2022.

Form 990, Part VI, Line 19

Availability of governing documents, coi policy & financial statements: the sutter health system posts its current and past audited financial statements at sutterhealth.org. Other documents are also located at this website including the annual report, mission statement, history, and links to affiliate websites. The governing documents and conflict of interest policy are not available to the public at this time.

Filing and Contact Details

Filer

Filer Name
Sutter Health
EIN
94-2788907
In Care Of
% KENNETH YOUNG
Phone
9162866665
Address
2200 RIVER PLAZA DRIVE, SACRAMENTO, CA 95833

Signing Officer

Name
Dominic Nakis
Title
SVP & CFO, Sutter Health
Phone
9162866665
Signed
2023-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Warner Thomas
Formed
1981
Legal Domicile
CA
Voting Board Members
13
Independent Board Members
12
Employees
6,852
Volunteers
2

Preparer

Firm
Ernst & Young US Llp
Address
560 MISSION ST STE 1600, SAN FRANCISCO, CA 94105
Preparer
Eva Nitta
Phone
4158948000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 and Part III, Line 1

Mission statement: we enhance the well-being of people in the communities we serve through a not-for-profit commitment to compassion and excellence in health care services.

Form 990, Part III, Line 4

STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: Sutter Health is a not-for-profit integrated healthcare system serving nearly 3.3 million patients in Northern California. With a sharp focus on delivering exceptional and culturally complement care, Sutter's 14,000 clinicians and 51,000 employees serve patients through Sutter's hospitals, ambulatory clinics and home health services. The mission of Sutter Health is to enhance the well-being of people in the communities it serves through a not-for-profit commitment to compassion and excellence in health care services. The Sutter vision is to lead the transformation of health care to achieve the highest levels of quality, access and affordability. Sutter Health provides certain centralized support functions to the system, including administrative services and system initiatives, to accomplish this mission. Grounded in its not-for-profit mission, Sutter Health heavily reinvests in its communities, committing hundreds of millions of dollars annually to support clinics and community-based hospitals-providing care for the most vulnerable populations. Sutter Health has been one of the largest provider of compassionate care to low-income patients in Northern California. The financial assistance programs for covered services provide free or discounted care based on income criteria and ineligibility for governmental and insurance programs. From deploying technology that improves the patient experience to supporting strong community partnerships, the strength of Sutter's integrated system provides a model that can shape the future of healthcare. Sutter Health's goal is to be the preferred provider to its patients and customers, the best place to work and a role model of community citizenship. The Sutter Health system consists of: . 51,000 employees and 12,000 doctors . 2,000 advanced practice clinicians . 22 hospitals . 4,094 licensed acute care beds . 33 ambulatory surgery centers . 8 cardiac centers . 11 cancer centers . 4 acute rehabilitation centers . 4 mental health and addiction care centers . 4 trauma centers . 7 neonatal intensive care units . Medical research centers . Medical Foundations . Walk-in Care clinics . Education centers and physician training programs . Philanthropic programs . Health plan (Sutter Health Plus) 2022 by the numbers: . 25,934 births . 180,640 discharges . 836,008 hospital emergency room visits . 1,767,511 hospital outpatient visits . 9,750,562 medical foundation visits . 935,211 patient days . 914,613 home health & hospice visits To view a list of Sutter Health affiliates, see Form 990, Schedule R.

Form 990, Part X, Line 20

Sutter health is a conduit borrower of tax-exempt bond issues and allocates portions of each issue to certain subsidiary organizations of which it is the sole corporate member. The outstanding bond liability allocated to these subsidiary organizations is reported on each subsidiary organization's form 990, part x, balance sheet and schedule k.

Form 990, Part XI, Line 9

Other changes in fund balance: pension related changes 666,109,144 equity transfer (net) (80,676,657) partnership income on books 16,528,925 other changes in fund balance (28,044,212) ---------------- total $ 573,917,200 ================

Financial Statement Notes

Schedule D, Part V, Line 4

Intended uses of endowment funds: michael and judith gaulke innovation hatchery endowment fund - to support the sutter health innovation hatchery, as directed by the sutter chief innovation officer in consultation with the sutter health president and chief executive officer. Schedule d, part x, line 2 asc 740 footnote: this organization was part of a consolidated financial system audit. The asc 740 audit footnote disclosure for the sutter system is as follows: sutter health and many affiliates have been determined to be exempt organizations by the internal revenue service and the california franchise tax board and generally are not subject to taxes on income. Certain activities of sutter are subject to income taxes; however, such activities are not significant to the consolidated financial statements. With respect to its taxable activities, sutter records income taxes using the liability method, under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax basis of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the periods that the deferred tax asset or liability is expected to be realized or settled. Sutter recognizes the tax benefit from uncertain tax positions, only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The statute of limitations for tax years 2019 through 2021 remains open in u.s. Tax jurisdictions in which sutter and its affiliates are subject to taxation. Sutter recognizes interest and penalties related to income tax matters in operating expenses. There were no such uncertain tax positions recognized for the years ended december 31, 2022 and 2021.

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IRS990/Form990PartVIISectionAGrp/PersonNm34HERBERT BARLOW
IRS990/Form990PartVIISectionAGrp/PersonNm35ANDREW DICKINSON
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt350
IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO Emeritus, Sutter Health

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9,602$4,994$4,607$2,686$2,545$141
2023Detailed filing. Detailed filing data is available for this year.$8,620$4,271$4,349$1,883$2,070$188
2022Detailed filing. Detailed filing data is available for this year.$7,414$3,321$4,093$1,919$1,858$60.1
2021Detailed filing. Detailed filing data is available for this year.$7,363$3,458$3,905$2,416$1,822$593
2020Detailed filing. Detailed filing data is available for this year.$6,846$4,984$1,862$1,903$1,991$88.3
2019Detailed filing. Detailed filing data is available for this year.$6,829$2,831$3,998$1,925$2,471$546
2018Detailed filing. Detailed filing data is available for this year.$6,154$1,998$4,157$1,795$1,803$8.06
2017Detailed filing. Detailed filing data is available for this year.$6,183$1,760$4,423$1,761$1,560$200
2016Detailed filing. Detailed filing data is available for this year.$4,975$1,652$3,323$1,323$1,487$164
2015Detailed filing. Detailed filing data is available for this year.$4,434$1,450$2,984$1,275$1,366$91.5
2014Detailed filing. Detailed filing data is available for this year.$4,588$1,449$3,139$1,230$1,246$15.6
2013Detailed filing. Detailed filing data is available for this year.$5,062$1,090$3,973$998$1,142$143
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,785$879$2,905$931
2011Summary only. Only limited summary data is available for this year.$3,124$775$2,350$756$716$39.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,065$903$2,162$649